Amber Wilson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC23522 Issued in ME

Practice address

7 Railroad Ave Ste 317
Gorham, ME 04038-1546

Phone

(207) 222-0309

NPI assigned

Jun 20, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Family Center of Maine

  • Clinical Social Worker
  • Gorham, ME
  • NPI 1700556743
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1972347409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RAILROAD AVE STE 317",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RAILROAD AVE STE 317",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381546",
            "telephone_number": "207-222-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AMBER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC23522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heinrich Friedrich Wichmann, B.PHARM
• Cynthia Cox Wilcox, LCSW
• Natasha Lynn Williamson, FNP-C
• Willow Tree Counseling LLC
• Jacqueline Wills, OD
• Caroline L Wilson, MS OTR/L
• Ashley Renee Woodbury, CCC-SLP
• Svitlana Woodford, OT
• Timothy Yee
• Brian Youth, MD

• Clinical Social Worker in Gorham, ME
• Providers in Gorham, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.